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Egypt Looking Forward
Managing Changes in MENA Region
Dr. Ihab Ahmed Abdelrahman,ICASA 2015 President,SAA President,
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Introduction
• Although Egypt considered as low prevalence country with less than 0.02%1 among the general population, there was an epidemiological change to concentrated epidemic captured since 20062.
• Egypt has witnessed significant political unrest and deteriorating security since the 2011 revolution with a great socioeconomic impact.
1 HIV/AIDS Situation, Response and Gap Analysis 2010, Ministry of Health, Arab Republic of Egypt 2 Biological & Behavioral Surveillance Survey 2006, MoHP/FHI
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Current situation
• Prevalence rate less than 0.02%1.• PLHIV estimated to be 6,500 in 20132.• Confirmed cases in 2013 were almost double
the cases in 20123.• There were 3,733 Known PLHIV by the end of
2013, among them 1,171 on ARVs1.
1 HIV/AIDS Situation, Response and Gap Analysis 2010, Ministry of Health, Arab Republic of Egypt 2 Estimation projection, World AIDS report 2013, UNAIDS 3GRPR, 2014
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Modes of Transmission
HIV/AIDS Situation, Response and Gap Analysis 2010, Ministry of Health, Arab Republic of Egypt
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Awareness
GARPR, 2014
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Stigma & Discrimination among HIV infected Women
Stigma Index, ESPSRH, Egypt, June 2014
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Stigma & Discrimination among HIV infected Men
Stigma Index, ESPSRH, Egypt, June 2014
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Key Population Prevalence
Biological & Behavioral Surveillance Survey 2010, MoHP/FHI/CDS
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MSM Sexual Relations
Biological & Behavioral Surveillance Survey 2010, MoHP/FHI/CDS
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MSM Condom Use
Biological & Behavioral Surveillance Survey 2010, MoHP/FHI/CDS
Condom Use in Last 6 Months
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PWID Sexual relations
Biological & Behavioral Surveillance Survey 2010, MoHP/FHI/CDS
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PWID Sexual relations with Male Partner
Biological & Behavioral Surveillance Survey 2010, MoHP/FHI/CDS
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PWID Condom Use
Biological & Behavioral Surveillance Survey 2010, MoHP/FHI/CDS
Condom Use in Last 12 Months
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Challenges
• Political Challenges.
• Stigma and Discrimination.
• Challenges in Health System.
• Monitoring and Evaluation Challenges.
• Travel Restrictions.
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Opportunities
• RANAA• MENAHRA• ENNAA• NAHR• Arab League Strategic Plan.• Inmate harm reduction program.• Piloting OST in Egypt.• HIV legal services.• OFID, and other Bilateral, Multilateral donors.
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Outcome
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Way Forward
• Combating stigma & Discrimination and Key population (Egypt, March 2015)
• Post 2015 (Algeria, May 2015)• Role of CSOs in post 2015 (Morocco, July 2015)• Reproductive Health (Zambia, December 2014)• ARVs (Cote d’lvoire (Ivory Coast), 2015)
Internetworking (SAA)
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